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Research ArticleResearch

Contraceptive practices and attitudes among immigrant and nonimmigrant women in Canada

Ellen Wiebe
Canadian Family Physician October 2013; 59 (10) e451-e455;
Ellen Wiebe
Clinical Professor in the Department of Family Practice at the University of British Columbia in Vancouver and Medical Director of Willow Women’s Clinic.
MD CCFP FCFP
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  • For correspondence: ellenwiebe@gmail.com
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Article Figures & Data

Tables

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    Table 1

    Location of birth of respondents

    COUNTRY OR CONTINENTRESPONDENTS, N (%)
    North America474 (47.4)
    China119 (11.9)
    India136 (13.6)
    Other part of Asia126 (12.6)
    Africa15 (1.5)
    Europe56 (5.6)
    Latin America19 (1.9)
    Oceania, Australia, or New Zealand15 (1.5)
    Middle East36 (3.6)
    Unknown3 (0.3)
    Total999 (100.0)
    • View popup
    Table 2

    Use of contraception in the month of conception in immigrant and nonimmigrant women presenting for abortion: N = 903; not every question was answered by every woman.

    CONTRACEPTION METHODIMMIGRANTS, BY LENGTH OF TIME RESIDING IN CANADA, N (%)NONIMMIGRANTS (N = 439), N (%)P VALUE
    < 5 Y (N = 174)≥ 5 Y (N = 290)
    Hormonal contraception20 (11.5)38 (13.1)103 (23.5)< .001
    Condoms52 (29.9)88 (30.3)131 (29.8).9
    Withdrawal56 (32.2)93 (32.1)146 (33.3).9
    Counting safe days55 (31.6)73 (25.2)64 (14.6)< .001
    Intrauterine devices2 (1.1)4 (1.4)10 (2.3).5
    Nothing41 (23.6)69 (23.8)100 (22.8).74
    • View popup
    Table 3

    Use of and attitudes toward hormonal and intrauterine contraception among immigrants and nonimmigrants: N = 840; not every question was answered by every woman.

    QUESTIONIMMIGRANTS, BY LENGTH OF TIME RESIDING IN CANADA, N (%)NONIMMIGRANTS (N = 466), N (%)P VALUE
    < 5 Y (N = 127)≥ 5 Y (N = 247)
    Ever used hormonal contraception94 (50.3)219 (65.6)433 (92.9)< .001
    Concerned that hormonal contraception is not healthy86 (67.7)148 (59.9)210 (51.6)< .003
    Ever used intrauterine device16 (9.2)47 (14.6)62 (13.4).22
    Fear of intrauterine device66 (55.5)139 (57.4)184 (48.9).10
    Problems obtaining contraception43 (26.9)67 (23.7)68 (15.3).001
    • View popup
    Table 4

    Problems with previous use of hormonal contraception: N = 741; this only includes those women with hormonal contraceptive experience.

    PROBLEMIMMIGRANTS (N = 308), N (%)NONIMMIGRANTS (N = 433), N (%)P VALUE
    Weight gain95 (30.8)208 (47.8)< .001
    Irritable or moody89 (28.9)191 (43.9)< .001
    Headaches53 (17.2)110 (25.3).008
    Nausea54 (17.5)103 (23.7).043
    Decreased interest in sex51 (16.6)103 (23.7).018
    Irregular bleeding40 (13.0)91 (20.9).006
    • View popup
    Table 5

    Barriers to accessing contraception: N = 895; not every question was answered by every woman.

    BARRIERIMMIGRANTS (N = 451), N (%)NONIMMIGRANTS (N = 444), N (%)P VALUE
    Any problems getting birth control112 (24.8)68 (15.3)< .001
    Did not know about it31 (29.5)4 (5.9)< .001
    Did not know where to get it10 (9.5)5 (7.4).62
    Not enough money to buy it11 (10.5)43 (63.2)< .001
    No doctor for prescriptions12 (11.4)10 (14.7).64
    Too busy (inconvenient to get it)36 (34.3)27 (39.7).519
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Canadian Family Physician: 59 (10)
Canadian Family Physician
Vol. 59, Issue 10
1 Oct 2013
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Contraceptive practices and attitudes among immigrant and nonimmigrant women in Canada
Ellen Wiebe
Canadian Family Physician Oct 2013, 59 (10) e451-e455;

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